HomeMy WebLinkAbout10197816 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714\ 647-5800 lnspection Requests: 17141667-2738 lnspector Section: (714) 647-5853
Permit #: {O{97816
Pin #: 20197
Project Address{ 3021 S Bradford P!
q
Unit:Bldg Address Range: 3001-3121
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel. 410-341-02 Lot: '1, 2 Block: NA Tract.7584
Building Use: Multi-Family (5 or more units) Occupancy: U 1st FL Area
Job Type: Reroof Constr Type: V B 2nd FL Area
Nature of Work: Reroof Code: CBC 2016 Other Areas
Existing Bldg. & Use: Muti-Family Flood Zone: X-0602320278J Garage Area
Proposed Use: # of Stories:
Totat
Description of Work: T/O existing roof on garage structure and install new denz deck and PVC roof membrane.
Patio:
T.l.Area
Yards Req'd
Valuation:
0@0
$9,800.00
SFlil:;'8iii - i/"',1i31'1, 'o' ',onl;l"r,Engineer: Accti: Ref+r 1019791r:Owner: Bradford Place Santa Ana HOA Contractor: Jordan Roof Co. Rcpt+:0?392r:r96 - 9/27/2918 TO2 t.)1
Address: 15661 Redhill Ave Ste 2OO Address: ll542Annabel Avenue Address: Trqnsqction Totol l?.t791-t..,itt
Tustin, CA 92780 Garden Grove, CA 92843
Phone: (71412gs-2626 Phone: 17141744-6577 Phone: Jordon Roof co'
Tenant State Lic #: 406783 License #: 6€-nern1 pl(ln t pd(te Fee $.,1,. , rsl
Lic Type: C-2, C-39 Architect / 01f16002- 51600000-
Bus. Lic#: rs86s3 Desisner: Slillltsi i160r000_ .. $i:j ", 'i+
Workers' Compensation lnsurance: Address: ili;;tff, F."uof , ins .r.i ,r rCarrier: American Zurichpor.y#: wcss34oolol phone: ?il'[i;.l]l; t"',?51{;o g?, ,1.,r,,
Expires: 1213112O1a License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Orozco, lvan
Zuniga, Allissa
Date: 09/25/2018
Date:
Date: 09/25/2018
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt;
07776002 51601 Permit Fee
07776002 57672 Bldg. Stds. Revolving
07776002 51600 General Plan Update
07776002 51601 lssuance
$320.50
$1.00
$22.O8
$5s.04
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the wo* on the site authoized by
such pefinit is cgfifienced within 180 days after its issuance,ot if the wod< authoized
on the sita by such petnit is suspended or abandoned lor a peiod of180 days aftet
the time the work is commenced
$22.08
$375.54
$1.00
$398.62
$0 00
$398.62
lnspector MID#: 2018-146357
01 'l 16002 5'1600
01 1 16002 51601
01 1 16002 51612
Fee Total
Paid to Datel
Balance Due
SITE-WORK DATE ID/SIG.COMMENTS OlINOR BUILDIiR DIiLCARATION
I hcrcb, lmrn undc0cn6hy of perjury thar I an cxc.rlr riom rhc Conrracro^ Li...sc tjw Inr rhc iollo*i!3 rc!$n (S.c 70ll5
Bu\incss r*l Piofcs\n,n Codc)r Any Ciry or Counry which rcqum\ . Frn ro con(rud. allcr. in{mv.. dcnmlnh or rcprn any
$rucruc, prior b ns isuatrcc, also rcquncsrnc opplicanr fot such t'c,trril lo filc s sis cd srI.'mnr rhar h.or shc n liccn*d puruanl
b rhc povisioN ol rrB Conractor's Licciscd t-rR (Ch,rrf 9, Comnr.cins wilh Scrlion 7(x)0 ol nilhn,n I oflhc ausnrcs and
PmlcssionsCodc)orth,lhcorshcncxcnrflthcrcriomrndthchsi{forlhcrllcsed.i.mPri.n.Anrvioltlio.oiScctbn?O3l5by3i,
lpplicanl for a pcnnir suhjslsrhe appliclnr ro!civilrcilhyotnor.x,crhnn nvc hundrcd dollors (5500).
l. N owncrofthc pru|]cdy. or nycoploles *irh w!8cs !\ th.n srh c.mpcn\arh! *illd. rtr work dt lic rlnrlurc is mr
irlcdcd or oricred for $k (Ss.7014, Blsims lnd Prole$bns C{{1. 1 h. C.nta.iols Liccnr L1w docs not q,ply ro ai owtr .f
rhctmltny wh. hu ildi or inllfolcs rh.ren. rnl wh. d ssu.hwlthnn\clfothcRllorltruuShhisorhtro*n..floyccs.
providcd rhar such i'ntmvcEnk re tur i' cndcd or oficd for {lc If. hosc& th! t{ikliiB or illq)$venFN t $ld wirhi" ,,nc rr
ol ont),lclion. tlE Ow.cr auildcr Nill hrvc lhc tu.dcn of provins rhi tu or \hc did tr.r bui or n\rmw thc pmtdy lor lhc purrxc oi
-1.
asowncrolrhc F,pcny, amcichriv.ly conrrr(i.s wnh licci*d contrd.^ ro .otrnfld riE pmrd (Sec.70,11, Busimrr
atul A.fcsbn Codcr Th. Co tracrol s Liccn* Law docs nor .rply lo otr owncr of lop.rly *h() brilds or inporcs rlfrNn.
md who contrrls lor such Itr.irls silh a C.nracro(n liccn\cd rrr\urm rorhccont!.ktr r Li.cnsc L,N)
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amcxcmpl undcr Secri
WoRKFRS' CoNIPFNSATION
DECLABTIITN
t hcrhy,fiii,nundr Fnilryordjxry.trc orrhc rolhsme dcclit.rnins
I havc uxluill'uinui.a CcnifraruofConscdr ki S.lf ln\uru forsorkcrr onrp..sllion. rs pnvidcd lorbyS..rnu lTmolrhc
hhor Codc. ihr rhc Pcrlorroncc otrh. work ru which rhc pcmir n k\m
l hrv. r d w ill irnrrh workcN .orrNnsarn in\urdNc. $ rcqtrir cd [y Scd i(!r ]7m ol rh. l rhor Gdt. fo rlr lErlornurcc of
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c.nilyrhlr nr r[c rcrhflniNc ol'lhc worl ntr+hichrhh prnnir is isstcd, I shrllnor cnr oyony!.non in atry manner
s, ,\k! bc.o'tu sxbjcd rorhc wo&c^ onrpnriri.n laws of Calinn nin. rnd!8rcc rh il l should btcum subjc.r btlr
work.^.onrl)crsrrnrtrorisionsofSccrionl?l[ofrhcLitarC]odc.lnEll.tunhwirh.onflywirhrho{povtiotrs.
NARNIN(: IrrilD.c r. ecurc wo*.r' .ommnsdnn, cov.rsc
's
I subrccr 0n cmplolq lo .nntinrl Fh.xics and
.ivil fincs un lo orc hundrcd I
S(rion 1076 ufthc lrnr C!d.
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LZA44:ry;
I hcEb! altirm undcr Fnllly ol p.!ju!y lhal rh.rc n ! coo(oclb. lcndine g.n.y fo. thc FdorNncc of lhc work to, whkh rhis Frnln is
hru.d (sd.1097. civ. c ).
AI&TCAIIDICLABAIION
I tboby atrmn uM.r F,ax, oi r.rjury onc ofthc lolloqine dalo,llionrl
D.ff,lnion Pdnns A$.{or Norificrrion r-.dcr.l RcNldilrns (Tilca0, P!n6)
-Rcquncd
Lncr of NotiaEalion
l..nilyrhar I lrlcr.irh'\rprhcrrnnrntul(nrcrlrar rh.rlr)L,Ene r. trtr,tJ * h Jll' i') itrd ( ntrd)
,rlinrncc\ rnd srric lr'*\rcl i"! h buikl rS y.nthorir rcrrc\enlalivcs ofrhis Ciry Md Coutrty Io cfcr ulo.lh.
obovc rEnriorcd nion ny for ins
ADlliclnt or Agltrt liigM
d z/
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathi ng ,/////x t ,/14d24-/h--
Shear Wall
Framing
lnsu lation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Depuly Final Report
Engineer Final Report
/6//f/il t TTzlrrA-,'12-----
Certilicate of Occupancy
Noles, Remarks, Etc
BUILDING. INSPECTOR RECORD
Flood Zone Certif .
FINAL
.f rhc Busin*s end Pmfc$ions Cnd.. rd my liccns. is in tull Ibrc ond cafsr.
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